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DGIM's Week in Review

Congratulations to Pete Groeneveld, MD, MS he was named the new co-Director of the Master in Science in Health Policy Research (MSHP). He will be leading this program with Judy Shea, PhD, who has been a co-Director since 2015

Raina Merchant, MD, MS and David Asch, MD, MBA have also been getting a lot of attention recently for their article in PLOS ONE “Evaluating the predictability of medical conditions from social media posts.” They linked Facebook posts of 999 consenting participants to their EMR. Using natural language processing, adding Facebook status data improved disease predictions (over demographics alone) the most for diabetes, pregnancy, anxiety, psychosis, and depression. For example the top 25% of patients mentioning god, family, and pray were 15 times more likely to have diabetes than the bottom 25% of people mentioning these same topics. They make the analogy that as biosamples reflect the genome, Facebook posts reflect the “social mediome.” Of course this raises ethical issues. We already worry about how this data can be used to influence elections, but maybe they can be used for good too. I am sure we will learn more about how this data can, and is, being used. It is a brave new world. At least Raina and David are helping provide insight into how it all could work.

Mitesh Patel, MD, MBA, MShad a new RCT published in JAMA Oncology in partnership with the Cancer Center and Radiation Oncology Department including Sonam Sharma, MD, Joshua Jones, MD, andJustin Beckelman, MD. They conducted a stepped-wedge cluster randomized trial among 21 radiation oncologists at 5 practice sites across Penn Medicine and changed the default in the EHR to reduce unnecessary imaging for palliative cancer patients receiving radiation therapy at the end of life.  For curative intent patients, daily imaging is used; however, for palliative cancer patients, national guidelines recommend either no imaging or just once.  Many insurers do not cover the cost of imaging in these patients so it can be costly and it takes up valuable time at the end of their lives. Prior to the intervention, clinicians had to select the imaging frequency. The default was changed to ‘no imaging’ with the ability for clinicians to opt out if needed (which is about 20% of the time). The simple intervention, which took 5 minutes and no cost to implement, cut daily imaging rates in half from 68% to 32%.  Best of all, since it was a stepped-wedge trial, the new design is now live in all Penn Medicine radiation oncology practices.

Congratulations to the following faculty and fellows. They received DGIM grants for the following:

  1. Laura Dingfield, MD, MSEd: “Serious Illness Care Program Implementation in an Internal Medicine Residency Program.”
  2. Kirstin Knox, MD, PhD: “Patient perceptions of factors contributing to extreme hospital utilization: A qualitative study of young women enrolled in the HUP Hospitalist High Utilizer Program.”
  3. Joe Nwadiuko, MD, MPH: “A Description of Hospitalizations of Immigration Detainees in the United States.”
  4. Maggie Lowenstein, MD, MPhil: “Evaluation of a Mobile Buprenorphine Treatment Program in Philadelphia.”
  5. I look forward to reporting back on the results of these studies.

    The teaching prowess of the DGIM faculty has not gone unnoticed by the SOM and many DGIM faculty are taking on new leadership roles within the medical school.

    • Jennifer Kogan, MD will become Associate Dean of Student Success and Professional Development. Jen will be stepping down from role as Director of Undergraduate Medical Education (UME) in the Department of Medicine and her role as Assistant Dean of Faculty Development.
    • Nadia Bennett, MD will become Associate Dean for the UME Clinical and Health Systems Sciences Curriculum and stepping down from being Co-Director of the Internal Medicine Core Clerkship.
    • Margot Cohen, MD will become the Associate Director of the Internal Medicine Core Clerkship.
    • Andrew Orr, MD will become the Co-Director of the Internal Medicine Sub-Internship working along side Ashok Linganna, MD.
    • Susan Day, MD, MPH recently received the PPMC Kozart Award for dedicated leadership and outstanding contributions to the medical staff.

    2019 SGIM Awards 

    Awards of Excellence

    • Flint Wang, MD for the DOM Maurice Attie Faculty Teaching Award.
    • Jean Miller, MD for the DOM Donna McCurdy Faculty Teaching Award.
    • Emmanuel King, MD for the DOM Donald B. Martin Teaching Service Award.
    • Ryan Buckley, MD for the VA Francis H. Sterling Award for Educational Excellence.
    • Flint Wang, MD and Amber Bird, MD for the DGIM John M. Eisenberg Teaching Award.
    • Jennifer Myers, MD for the DGIM Award for Excellence in Professional Development and Mentorship.
    • Rani Nandiwada, MD for the DGIM Excellence in Innovation and Clinical Practice Award.
    • Emily Fessler, MD for the DGIM C. William Hanson, II Prize for an Outstanding Primary Care Resident.
    • Flint Wang, MD for the Hospitalist Resident Teaching Award and Good Shepherd Hospitalist Collaborator Award.

    2018 Philadelphia Top Docs

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